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ICD-10 Guide
ICD-10 CodesS52.25

S52.25

Billable

Comminuted fracture of shaft of ulna

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S52.25 is a billable code used to indicate a diagnosis of comminuted fracture of shaft of ulna.

Key Diagnostic Point:

A comminuted fracture of the shaft of the ulna is characterized by the bone being broken into multiple fragments, which can complicate healing and treatment. This type of fracture often occurs due to high-energy trauma, such as falls or accidents, and is frequently associated with injuries to the radius, particularly in the context of forearm fractures. The ulna, being one of the two long bones in the forearm, plays a crucial role in wrist and elbow stability. Comminuted fractures can lead to significant complications, including compartment syndrome, where increased pressure within the muscle compartments can impair blood flow and lead to muscle and nerve damage. Treatment typically involves orthopedic fixation procedures, which may include internal fixation with plates and screws or external fixation, depending on the fracture's complexity and the patient's overall health. Proper assessment and imaging are essential for determining the extent of the fracture and planning the appropriate surgical intervention. Rehabilitation following fixation is crucial for restoring function and strength to the forearm and elbow.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Multiple fragments complicate coding and treatment options.
  • Potential for associated injuries to the radius.
  • Risk of complications such as compartment syndrome.
  • Variability in surgical approaches and fixation methods.

Audit Risk Factors

  • Inadequate documentation of fracture details.
  • Failure to document associated injuries.
  • Lack of clarity on the surgical procedure performed.
  • Improper linkage between diagnosis and procedure codes.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or vehicular accidents.

Billing Considerations

Documentation must clearly describe the fracture type, treatment plan, and any complications.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with acute forearm pain and deformity after trauma.

Billing Considerations

Accurate documentation of mechanism of injury and initial treatment is critical.

Coding Guidelines

Inclusion Criteria

Use S52.25 When
  • According to ICD
  • 10 guidelines, S52
  • 25 should be used when there is a documented comminuted fracture of the ulna shaft
  • It is important to ensure that the documentation supports the complexity of the fracture and any associated injuries

Exclusion Criteria

Do NOT use S52.25 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of ulnar shaft fracture

Clinical Scenario

Used when surgical fixation is performed on a comminuted fracture of the ulna.

Documentation Requirements

Operative report detailing the procedure, fixation method, and any complications.

Specialty Considerations

Orthopedic surgeons must document the fracture type and surgical approach.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to capture the complexity of comminuted fractures, which aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to capture the complexity of comminuted fractures, which aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to capture the complexity of comminuted fractures, which aids in better tracking of treatment outcomes and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a comminuted fracture and a simple fracture?

A comminuted fracture involves the bone being broken into multiple fragments, while a simple fracture is a clean break with two pieces. Comminuted fractures are generally more complex and may require more extensive treatment.